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CONFIDENTIAL
Approved for public release; distribution isunlimited.
Distribution authorized to U.S. Gov't. agenciesand their contractors;Administrative/Operational Use; 11 JUN 1969.Other requests shall be referred to AdjutantGeneral's Office (Army), Washington, DC 20310.
AGO D/A ltr, 13 Oct 1980; AGO D/A ltr, 13 Oct1980
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REVIEW ON 11 JUN 89
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SECURITY MÄRKING
The classified or limited status of this report applies to each page, unless otherwise marked. Separate page printouts MUST be marked accordingly.
THIS DOCUMENT CONTAINS INFORMATION AFFECTING THE NATIONAL DEFENSE OF THE UNITED STATES WITHIN THE MEANING OF THE ESPIONAGE LAWS, TITLE 18, U.S.C., SECTIONS 793 AND 794. THE TRANSMISSION OR THE REVELATION OF ITS LAW
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NOTICE: When government or other drawings, specifications or other data are used for any purpose other than in connection with a defi- nitely related government procurement operation, the U.S. Government thereby incurs no responsibility, nor any obligation whatsoever; and the fact that the Government may have formulated, furnished, or in any way supplied the said drawings, specifications, or other data is not to be regarded by implication or otherwise as in any manner licensing the holder or any other person or corporation, or conveying any rights or permission to manufacture, use or sell any patentee' invention that may in any way be related thereto.
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CONFIDENTIAL '
DEPARTMENT OF THE ARMY OFFICE OF THE ADJUTANT GFNERAL
WASHINGTON, DC. 7C3I0
IN REPLY HRrER 1')
AGAM-P (M) ^9 june 69) FOR OT UT 69B021 25 June 1969
I>
SUBJECT: Senior Officer Debriefing Report: BG Hal B. Jennings, Jr., CG, 44th Medical Brigade and USARV Surgeon, Period 1 Feb 1969 to 3 June 1969 (U)
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1. Reference: AR 1-26, subject. Senior Officer Debriefing Program (U), dated 4 November 1966,
2. Transmitted herewith is the report of BG Hal B. Jonnlngs, Jr., subject as above.
3. Tills report is provided to insure appropriate benefits are realized from the experiences of the author. The report should be reviewed in accordance with paragraphs 3 and 5, AR l-26j however, it should not be interpreted as the official view of the Department of the Army, or of any agency of the Department of the Army.
BY ORDER OF THE SECRETARY OF THE ARMY:
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.
1 Incl as
C. A. STANFIEL Colonel, AGC {^/ fT*\ Acting The Adjutant General
D r* ♦u.-(
Julia DISTRIBUTION: Commanding Generals ;
US Continental Army Command US Army Crmbat Developments Command / j
Commandants "■'»■''.. US Army War College US Army Command and General Staff College US Army Adjutant General School US Army Air Defense School _ . . , .,, . , x J us Army Armor school Regraded unclassified when separated US Army Aviation School from dassjfjed JnClOSUfe. US Army Chaplain School
CONFIDENTIAL
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CONFIDENTIAL
DISTRIBUTION (Cont'd) IIS Army riirmical School
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CONFIDENTIAL
CONFiDENTIAL DEPARTMENT OF THE ARMY
HEADQUARTERS. UNITED STATES ARMY VIETNAM APO SAN FRANCISCO »6375
AVHGC-D3T
SUBJKCTi Senior Officer Debriefing Report
1 1 JMN !0f9
Aeslatant Chief of Staff for Force Development Department of the irmy Washington, D, C. 20310
1. Attached are three copies of the Sonlor Officer Debriefing Report suhaltted by BG Hal B. Jennings, Jr. Tho report covers the period I t'eb 1969 to 3 June 1969 during which time BG Jennings served con- currenUy as CG, Uth Medical Brigade and DSAKV Surgeon.
2. BO Jennings Is recommended as a candidate guest speaker at appro- priate service schools.
FGR THE CQMMlNDEBi
1 Incl as (trip) 2 cy wd Hq, DA
C. 0. WHSOM
Regraded unclassified when separated from classified inclosure.
CONFIDENTIAL
DEBRIEFING REPORT
(RCS-CSFOR-YA)
COUNTRZi Republic of Vietnam
DEBRIEF REPORT Bit BG Hal B. Jennings, Jr., Surgeon
DDTI ASSIGNMENTi CG, Uth Medical Brigade/ Surgeon, US Army, Vietnam
INCLUSIVE DATES« 1 February 1969-3 June 1969
DATE OF REPORT i 3 June 1969
11
TABLE OF CONTENTS
MNEI A INTRODUCTION
General Military Situation A-1
General Medical Situation A-1
ANNEX B MILITARY CIVILIAN HEALTH ASSISTANCE
Appendix 1 Civilian War Casualty Program Workload
ANNEX C PERSONNEL
General 11 C-1
notation of Medical Corps Officers C-1
Reduction in Medical Corps Officer Staffing Authoriza- tions C-1
ANNEX D OPERATIONS
Hospital Construction D-1
Operational Beds D-1
Area Survey • D-1
3BCAP-PAC D-1
Air Ambulance Operations •. D-1
Division Level Medical Service D-2
DQD Contractor-Operated Aid Stations/Dlspensarles D-3
In-Country Training Program for RVN4F Military Physicians In US Military Medical Facilities D-3
Appendix 1 Hospital Bed Status
Appendix 2 Number of Patients Evacuated
ANNEX E PROFESSIONAL SERVICES
Medicine E-1
Nursing Service E-1
Hi
r
Dental Service , E~2
Ve t.erinaiy Serv i ces 4 E-3
Optometr; Services , E -',
ANNEX F PREVENTIVE MEDICINE
Di ::■ - K-1
Environmental Sanitarians F-1
Swimming Facilities F-1
Field Sanitation Teams F-2
Aerial Diapoaal of Insecticides F-2
Tlotrogrado Cargo F-2
Training F-2
ANNEX G MEDICAL MATERIEL
General G-1
Significant Activities G-1
Summary ' i -A
ANNEX H MEDICAL HECQRDS AND STATISTICS
Objectives H-1
SI gnifleant Data H-1
Appendix 1 Total Admiadlono All Anny Faoilitios
Appendix 2 Total Army Admissions - All Anuy Facilities
Appendix 3 Source of Adialssloris to US Army Hospitals - All Patients
Appendix 4. Direct Admission to US Array Hospitals by Cause - All Patients
Appendix 5 Army Direct Admission to US Airy Hoepitals by Cause
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Appendix 6 Direct Admissions US Amy Hospitals, Vietnam
Appendix 7 Army Dispositions - US Army Hospitals
Appendix 8 Army Direct IRH1 Admissions and Dis- positions - Hospital
Appendix 9 Army Dally Admissions Hate - All racllltles
Appendix 10 Amy Dally Noneffeotlve Rate - All Facilities
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Appendix 11 Hospital Bed Status
Appendix 12 Convalescent Center Bed Status
Appendix 13 USAHV Death Hate
Appendix 14- Hepatitis
Appendix 15 Diarrheal Conditions
Appendix 16 Skin Diseases'
Appendix 17 Psychiatric Disorders
Appendix 18 Malaria
Appendix 19 Fever of undetermined Origin
Appendix 20 Acute Respiratory Diseases
Appendix 21 Pneumonia
CONFIDENTIAL
tNNEX A
INTRCDUCTION
1, (U) GEaffiRAL MILII4RI SITUATION -- The united States Army in Vietnam has continued to aupport the Eopuhlic of Vietnam Foi'cea in pacification and re- volutionär^' development. United Stator units continue to accomplish their mission by deploying tailorod tactical elements into suspected hostile areas to conduct spoiling attacks and reconnaiaance-in-force operations. Upon com- pletion of their mioaions they move to other nroan to perform other miaaions or return to base camp for reaupply, refitting and recuperation, Eneny ac- tivity increased signlficantiy on 23 February 1969 with stand off rocket and mortar attacks on more than 100 cities and military installations, coupled with ground probes and sapper attacks against many of these installations« This action signalled the start of the long-anticipated onürry »current offen- aive", which slowly deteriorated without achieving the military or psycholog- ical gains which hart bei3n its objectives. A new and apparently similar "of- fenaive" with attacks on 20A military iTiBte-Uatlcns and '.dtles began on 11
May 1969, however, as the period of this report closed, the eneiiy again had failed tr> moko any military or paychologieal gai^s.
2, (C) GENERAL MFDICAL ÜITUAT10W — The period waa highlighted by the fol- lowing aerioa of sotlons whiich whan fully In piemen ted will gignifioantly re- align the ii4th Kodica.1 Brigade Force iitmcturo.
a. A Modified Table of Organization and Equipment (MTOi;;) forwarded to ÜSARPAC by ÜSARV recomraonds the inactivation of the 7th Surgical Hospital. The personnel cpaces gonoratcd thorol^y arc to hs applied to urgent require- ments of the 32cl Medical Depot. The 7th Surgical Hospital was the logical source for spaces. For several continuoua months its average patient census was extremely low because the major supported unit, the 11th Armored Cavalry Jtegimont, operates 00 far from its base (Long Giao) that support is provided by other hospitals. Under these circumstances 1 which by all indications will not ohango, there la no Justifioation for retaining the 7th Surgical Hospital. Pending approval of the proposed inactivation, the personnel, equipment, and supplies of the 7th Surgical Hospital have been redistributed to meet other needs within the 44th Medical Brigade,
b. The second major action is somewhat more involved but is based on the sane rationale - the need for internal adjustment of rosources. Four unita are involved: the 91 at Evacuation Hoemtal and 3l<t.h Evacuation Hos- pitalj and the 45th and 49ötli Air Ambulance Companies. The 9Ist Evacuation Hospital ia the marginal unit. Its patient census, particularly US patients, has been low. Maintenance of the hospital plant at acceptable standards has been difficult. For e^wuple, the facility is in need of complete rewiring, A plan, presently under consideration try US&HV, if implemented, will inove moat US elements out of the 91 at Evacuation Hospital's area (Phu Hiep/Tuy Hoa) and is a second factor x/hich favors relocating this hospital. An iso- lated hospital in Vietnam experiences major security, maintenance, and
FOR Ol i/T DOWNGRADED AT 1.2 YEAR INTERVALS: t»9B03Ll ' A"1 NOT AUTOMATICALLY DECLASSIFIED
CONFIDENTIAL D0D rjlR 520(M0
CONFIDENTIAL
lo^latical support probloma which nnnnot be justiflod if adoqunto hospital« !>'. ition can bo provided from otlmr locations« Undor current pinna tho 9l3t Evacuation Hospital will coase oporatlons in June - July 1969 and move to Chu Lai to replace the 312th Evacuation Hospital, a ÜSAR unit. Releasing the 312th Evacuation Hospital frees 313 spaces. ÜSARV has requested that 60 of these spaces plus 56 spaces from the 1st Aviation Brigade be used to add to the 4.5th and 498th Mr Ambulance Companies (MTOE) a critically need- ed organic 3rd echelon maintenance capability. The remaining 253 spaces will be applied to non-medical USARV requirements.
c. Another major action being implemented is the realignment of Medi- al Group responsibilities. By «my of several standards, the present structure is not in balance. The imbalance has been recognized for some tin». Plans to readjust responsibilities while retaining four groups show- ed that one of the two medical group headquarters in II CTZ was unnecessary and could not be used anywhere in USARV. However, the spaces are needed to rmginsnt the remaining three groups so they can meet overall responsibilities. T'I > /^rd Medical Group is tho moat lonicnl ^roup to bo retained In II Corpa r I'MISO of its co-location with Hoadquartors I FFORCEV. Accordingly, n for- mal roqueat for inactivation of the 55th Medical Group and concurrent aug- mentation of the other three groups wag forwarded by MTOE action. The phas- ing out 0^ the 55th Medical Group vail begin in June 1969. Conuiiand and con- trol of its subordinate units will pass to the 43rd Medical Group.
d. Included in the same MTOE action is the inactivation of two clearing companies, two medical company headquarters (AC), and a medical illustration detachment, none of which are now required in the force structure. The spaces generated are applied to recognized requirements elsewhere in the 44th Medical Brigade.
e. The USARV Surgeon1 s staff and the 44th Medical Brigade staff are actively evaluating USARV medical resources to adjust them where indicated. Some refinements now being studied are: relocating the 17th Field Hospit- al to replace the 311th Field Hospital, releasing the latter without the need for a unit replacement; inactivating the 27th Surgical Hospital; fol- lowing construction of the 85th Evacuation Hospital plant at Phu Bai, in- activation of the 22d Surgical Hospital; if RVK will take over care of con- valescent PW patients, releasing the 74th Field Hospital without replace- ment. Probably the greatest efficiencies (and space savings) can be real- ized only by converting all TOE hospitals, dispensaries, dental units, pro- fessional services teams (except KA detachments), preventive medicine units, and veterinary detachments to TDA Medical Department Activities (MUDDAG) as authorized by AR 40-i4. This action should be initiated promptly.
f. It is a source of pride that responsible USARV medical personnel have taken the initiative in identifying and releasing assets excess to need thus providing USARV with spaces to meet other requirements while helping to reduce the drain on CONUS medical assets.
A-2
CONFIDENTIAL
ANNEX B
MILITARY CIVILIAN HEALTH ASSISTANCE
1. (ü) USäRV participation in the Medical Civic Action Program (MEDGAP) and the Civilian War Casualty Program (CWCP) continues to be refined as additional organizations coordinate plans with the Province Chief, Pro- vince Medicine Chief, and the Province Senior Advisor,
2. (U) For the period 1 February - 31 March 1969, MEDCAP outpatient visits averaged 110,600 monthly. In addition, approxlmately 24,300 Vietnamese civilian were immunized, 3,218 were hospitalized in US Army facilities, and 700 ham- let health workers were trained.
3. (ü) Total Vietnamese nationals treated on DENGAPS during this period - 27,564.
/,. (U) During the period 1 February - 30 April 1969, 76 VETCAP visits were mada and more than 4,300 farm animals were given vaccinations and/or treated for diseases«
5. (U) See Appendix 1 for CWCP workload.
3 B-1
ANNEX C
PERSONNEL
1. (U) GENERAL — During this report period all branchoa of AMEDJ c :'icers were at or above authorized strength, with exception of MC and &NC. Although slightly below authorization, both Medical and Array Nui'se Corps officers were adequately staffed for the workload throughout the commnd. The only criti- cal shortages existed in the fields of ancnthesia and oper?i.ting rooi. nursing. There was a consistent shortage of qualified anesthesiologists in the Medi- cal Corps and of nurse anesthetists. A rcquiremonb exists for 32 anesthe- siologists (MC), USARV strength in this specialty generally ranged «bout .30, but only 10 of these were fully trained. The remainder, for the most part, were OJT trained. Of 95 nurse aneathetists required, USARV strength in Ulis field was about 65 throughout this report period. Operating Room Nurses (MQS 3443) remained constant at only fifty percent of authorized strength,
2. (U) EOTmON OF MEDICAL CORPS OFFICERS ~ During the period of this re- port approximately 178 Medical Corps officers were rotated between medical units of the 4/.th Medical Brigade and the combat unitn. Although this policy of rotation after six months duty in a combat unit does contribute greatly to an already heavy personnel turbulance, it is a very positive morale factor mid should be continued,
3. (U) KODUCTION IN MEDICAL CORPS OPTICER STAFFING AOTHORIZATIONS — The quarterly poraonnol authorization for the 4-th Fiscal Quarter was rccolved through technical channels and ÜSARV was requested to submit a 919 Report to indicate grades and MOS desired. For Medical Corps officers a total of 1191 was authorized. After careful review of the actual and projected workload in USARV, it was concluded that 1091 physicians will be entirely adequate. Thus, in preparation of the 919 Report a voluntary reduction of 100 MG offi- cer spaces was reported to USARPAC,
y c-i
ANNEX D
OPERATIONS
1. (U) HOSPITAL CONSTRUCTION — Hospital construction priorities for FT 1971 wore established by USARV during this period. The most significant construction project is a new facility for the 24th Evacuation Hospital. Current hospital construction continues on 1 evacuation, 1 field, and 1 surgical hospital. It is anticipated that the 85th Evacuation Hospital will be completed in the autumn of 1969. Fixed facilities for three MOST equipped hospitals continues to be a pressing requirement to permit equip- ment to be transferred to complete two mobile hospitals and to provide a better maintenance float. As air conditioning units become more readily r.vailable in USffiV, the air conditioning of patient treatment areas of all ■nodical facilities, including fixed aid stations, was approved subject to availabUity of power and certification that the facility is of construc- tion suitable for air conditioning.
2. (U) QPERATICNAL BEDS — The 44th Medical Brigade continues to survey its hospitals to establish a realistic indicator of the Brigade's ability to support sustained operations. Average operational beds for the first four months of this calendar year is 5,215, and average daily beds occupied is 3,088, for 59.1 percent average occupancy. (See Appendix 1)
3. (U) AKEA SORVEI ~ During February the last of the area surveys of medical activities within the Republic of Vietnam was completed. These surveys have proven to be a valuable tool in adjusting resources to re- quiromonts. The most slcniflcant action which resulted from a survey to date was the closure of the 7th Surgical Hospital at Long Giao; the survey of that area pointed out the undor-utilization of the hospital and the lack of requlromenta for its continued operation.
4. (U) RECAP-PAC — The revision of USARV Regulation 600-15, Processing of Missing in Action, Returned, Exchanged and Escaped Personnel (U),,which was initiated late in 1968, has been held in abeyance pending publication of a new MACV directive on this subject. Upon receipt of this directive, the USARV regulation and a medical SOP for handling RECAP-PAC personnel will be developed which can be applied to any USARV medical facility.
5. (U) AIR AMBULANCE OPERATIONSi a. Aeromedical evacuation workloads for the period continued at a high level. Febraary began as a slow month, however, during the last week of February with the >mat of the porit-TET Offensive, workloads increased dramatically resulting in 15,690 patients being evacuated. Patients evacuated by the 44th Medical Brigade during March increased to 21, 843 which was Just 72 patients less than the all time high month of May 1968 when 21,915 were evacuated. May continued at a high level. Total patients evacuated by the Brigade and two Airmobile DivialonB for the period 1 February 1969 through 30 April 1969 wa« 62,612. (See Appendix 2)
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b. Several DDSTOFF units were relocated to provide more responnive aero- medical evacuation support. On 13 Fobruary 1969, the 57th Medical Detachment (RA) was stationed at Lai Khe. Simultaneously the Ath Platoon, 4.5th Medical Company (Air Ambulance) was moved from Lai Khe to Long Binh, rejoining its parent unit. This switch was made because the detachmont organization is more capable of jelf sustained operation than is the platoon. The 82d Medi- cal Detachment (RA) moved from Soc Trang to Binh Thuy, clooer to the areas where the majority of patients originate. Eighty-five percent of the pick ups are in an area West and North of Binh Thuy, thus evacuation lag has been reduced 20 to 30 minutes for B5% of the patients served by the 82d Medical Detachment.
c. During this period the Mth Medical Brigade submitted a MTOE for the 45th and 498th Medical Companies (Air Ambulance) to add a 3d echelon mainte- nance capability to each unit. It is estimated that aircraft availability will increase 10^ to 15% &a a result. All other aviation companies in JSARV have been converted to the integrated maintenance configuration. With 31 approval of this action the air ambulance companies will be on a par with the tactical units,
d. All 44th Medical Brigade DUSTOFF units are near full authorization of special aviation flight equipment. Nomox flight suits and gloves have been issued on the basis of 2 complete sets per crew members. Ballastic hel- mets are being received and equitably distributed. Forest penetrators and survival kits continue to be in short supply and no firm input dates have been received for these items,
e. The posture of the aeromedical evacuation capabilities in Vietnam is excellent. Large numbers of casualties are efficiently handled, lerorr.edi- cal resources are well distributed with only minimal movement of rooources required to handle increased activities in any particular area. This evacu- ation system effectively ties ÜSARV hospitals to the battlefield,
6, (U) DIVISION LEVEL MEDICAL SERVICE — To enable division level medical service to keep pace with present medical trends and practices, upgrading the quality of medical care to personnel in combat organizations, the Sur- geon's staff is developing a division medical structure which staff0 the division medical battalion with fully or partially trained general aurgoons, orthopedic surgeons and internists. The plan conceives establishing a "raodi- cal battalion outpatient clinicn in those apocialtieo, enabling patients to be seen within the division area, sending to hospitals only those who must be hospitalized or who need more technical consultations. Although this con- cept may not result in saving AMEDD personnel spaces, it should save many manniaya now lost in transit to and from hospitals for outpatient conaulta- Uona saving considerable "foxhole strength". This concept must be tested by a division in ÜSARV as soon as the summer replacement turbulance has ceased. The test oonoept is presently being staffed within ÜS&RV headquarcers.
D-2
7. (0) DQD CONTRACTOR-OPERATED MD STATICrJS/blßl'EKCARIES — In September 1968 offorta wore mdo to hnvn US/IRV ^ r.uvv^y DOD contractor-opcr.-it.ed aid stationa £Jid dlsponsuriea bo dotormlne wlicro thoae facilities duplicated oervicoa available at military raodical facilitio3u Tliio üurvoy wao not un- dertaken by 04; therefore, early in 1%9 the Surgeon initiated his own re- view. This review, coupled with area medical snrvcyo conducted by the 44th Medical Brigade, showed that Pacific Archltoots and Engineers (PA&E), Philco- Ford, Hanjin Transportation Company, Page Concmmications Engineer, Vinnell Corporation, Raymond, Morrison-Knudnen/Brown and Hoot-Jones (RIIK/DRJ) and Alaska Barge Company operate medical facilities. In most cases, each firm claimed to treat US and Third Country Nationale as well as local nationals civilian employees. At many installations, two or more contractor-operated medical facilities, in addition to military medical facilities, offered the saaa service. These findings resulted in a decision paper to the command f^oup recommending that Ist Logistical Command dJrect United States Array Pro- curement Agency Vietnam (USAPAV) to renegotiate the pertinent contracts to olirairiate tills duplication. The Surgeon provided technical assistance tc determine what facilities, equipment, and supplies were needed, and to act ar; the responsible staff agency for ndvisin;; ÜSAPäV on contractual provi- sions involving medical, support to or by DOD contractors. PA&E1 s contract WAS tho first to bo renegotiated (target date: 1 June I'XiQ). Fifty-seven sites wrro visited and Jointly reviewed. As a result, 21 PA&E aid stations and 11 PA&E dispensaries are being closed and tho initiation of 13 medical fa- cilities was prevented. The remaining DCD contracts will be reviewed in the same manner. It is expected that results will ba comparable to those obtain- ed with PA&E, Operating contractor medical facilities where military medical facilities are available results in the Government paying contractors to pro- vide services already available from military agencies; therefore, this ac- tion will result in conoidorablo monetary savings and will reduce the loose control of DOD contractor facilities which invites black marketing of medi- cal supplies and drugs.
8. (U) IN^COUNTRY TRAINING PROGRAM FOR RVNAF MTLITARI PHYSICIANS IN US MILITARY MEDICAL FACILITIES ~ Beginning in March 1969, an in-country train- ing program for RVN military physicians was established by MACV and initiated at 44th Medical Brigade hospitals. Initially, 21 piiysicions, selected by a joint board composed of representativea of the RVNAF Surgeon General's Office and the MACV Command Surgeon's llffjce, began a six-month program of observer training in one of the following apecioltiesT uurgery, internal medicine, bacteriology, radiology. The primary aim of this program is to reduce costs previously incurred by providing ai-milar training in CONUS, to provide more meaningful, on-the-soene instruction in the management of battle casualties and diseases endemic and poouliar to RVN, and to foster closer cooperation between US and RVN loilitary physicians.
D-3
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Appendix 1 to Annex D
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Appendix 2 to Annex D
ANNEX E
PRQFEGniOML SERVICES
1. (U) MESICINEt n. Tho Mcdlcnl Conmiltnnt dlrootod a two dny program in a oomblnod modlcal-ourylcjil oonforonce on 27 - 28 March at tho 93rd Evacuation Hospital« Leotures by 20 ooparato military physioiana on^nced in dlroct caro of patients in Vietnam woro proacntod. The conference was recorded by tho Military Hictory Divinion and publication and dissemination of this up to date information is planned.
b, A technical communlcatLon channel between hospital medical services and divisional medical units is being established under the operational il.tle of MEDCON, To establish professional dialogue betwoon these two lev- els of medical care mutual liaison visits are to be encouraged on a regular basis between physicians operating at each level. Chiefs of Medicine and uivision Surgeons will coordinate these professional activities designed to enhanos appreciation of problems in each sphere of activity and develop to- gether the solution to these problems. The MEDCON liaison visit represents e now philosophy of field medicine. It affords the opportunity of physi- cian discussion through a new technical channel paralleling channels of pa- tient care/evacuation and affording to personnel at all levels the opportu- nity to broaden their understanding of the total care of the military patient,
2. (D) NURSING SERVICE: a. LTC Nellie L. Henley served as Chief Nurce, ÜSARV, during the entire report period. LTC Eleanor L. Gordner served as Assistant Chief Nurse until A April 1969. LTC Elizabeth A. Blomer served as Assistant Chief Nurse from 5 April 1969 to 31 May 1969.
b. A conference for the Chief Nurses of the 68th Medical Group was conducted at Long Binh on 15 March 1969.
c. The Joint Military/Civilian Nuraing Committoo conducted mootings in February, April and May. The purpose of the committee is to coordinate oi- vilian and military nursing activities and programs that will benefit the patient and nursing in Vietnam. Participants of these meetings are repre- sontativoa from ÜSälD Nursing Branch, RVMF Surgeon General's Office, MACV Nurse Advisors, Ministry of Health Nursing Branch, Chief Nurse, R0KÄNCV, Chief Nurse, 3d Field Hospital and Chief Nurse, USARV.
d. Assignment of Army Nurse Corps Officer — Effective 15 March 1969, policy regarding assignment of ANC officer to and within the 44th medical Brigade was changed. Previously, initial assignments and any subsequent in-country reassignments were directed and coordinated by the Chief Nurse, USARV/Uth Medical Brigade, Revised policy, giving group commanders au- thority and flexibility to manage all resources as advantageously as pos- sible, is as follows!
™
(1) Upon initial arrival of ANC officer in RVN, Chief Nurse aeiects assigmrcnt to one of the four Medical Groups, recommending assignment to one of the hoapitals within the group.
(?.) Group Commondor makes final decision on initial assignment within his group, and subsequently effects reassignmonts to distribute ANC officers as workload and misaion changes require.
3. (U) DENTAL SERVICE: a. Organizational Chjinges - During the period 1 February 1969 - 31 May 1969, one dental officer from the 56th Medical Detach- ment (Dental Gorvico) vaa attached to Company B, 326th Medical Battalion, 101nt Airborno Division (Airmobile) located at LZ Sally to provide more ade- quate dental support to the 2nd Brigade, 101 at Airborne Division. A realign- ment of area dental service was made to support troops in II CTZ. Area of responsibility for Phan Thlet was redefined. The 93Äth Medical Detachment (Dental Service) will provide dental service in the Phan Thlet area relieving the 4.37th Medical Detaclunent (Dental. Service) of this area of responsibility. The 934th Medical Detachmont (Dental Service) has the responsibility of pro- viding area dental support for the Ban Me Thout area minus the 4th Infantry Division area of operations.
b. Dental officer personnel strength during this period - 276.
c. Dental racilities»
(1) 99 dental clinics were operated during this period.
(2) During this report period the 38th Medical Detachment (Dental Ser- vice) expanded its dental laboratory to accortmodat e Fluid Reoin Technique Program for fabrication of dentures, transferred from the ^SOth Medical De- tachment (Dental Service).
(3) On 24 February 1969, the construction of the new KiSV den I'd clinic at MACV Annex, Tan Son Nhut was started. Construction is 70^ completed. Estimated completion date is July 1969.
(4.) The remodeling of a second M101 shop van, airmobile, dented clinic number II was completed by the 39th Medical Detachment (Dental Service) and placed into operation at Firebase 5» near Dak To.
(5) Construction of dental clinic at Firebase Oasis by the 39th Medical Detachment (Dental Service) was completed during this report period,
(6) A new air conditioned building has been provided for the Camp Hollo- way dental clinic.
(7) On 9 February 1969, a new dental clinic at Dong Tam operated by the 137th Medical Detachment (Dental Service) was completed and placed in opera- tion.
// ^
(8) Qn 18 February 1969, a M292A2 ahop vmi was converted into a mobile ■ntal c.linic and placed in operation in the 9th Infantry Division area,
(9) During February 1969, construction was completed on the '\A5th Avi- ation Battalion dental clinic operated by the 4.99th Medical Detachment (Den- tal Service).
d. Preventive Dentistry Programs Initiated — The preventive dentistry facility at the 90th Replacement Battalion became fully operational during this period. Approximately 90iS of Army personnel reporting in-country re- ceive their initial flouride self treatment at the 90th and 22nd Replacement nattalions. The 6 month follow up treatments continue to be given at fire iTiipport baaes during stand-downs; and when processing for R&R. During this '•'.porting period ovor 200,000 treatments wore received by personnel in Viet- nam,
e. Total patient treatments this period - 4.19,623.
A. (D) VETERINARY SERVICES: a. The qup-lity of dairy products produced I'j the five large dairies operating in Vietnam remains good. Occasionally there has been a problem with bacterial count which has been resolved with- out mdue pressure having to be applied. One area of inspection that we ire incapable of doing at this time is testing dairy products for water Q'ld fat content. The 9th Medical Laboratory does not have an explosion prool' room in which to perform the ether extraction tests. This deficiency ha: been recognized by the iWth Medical Brigade and a request has been submitted to make necessary alterations to the existing facilities.
b. The refrigerated space in-country is extremely limited. With the largo quantity of perishable food being processed through our supply channel it is very difficult to avoid excessive spoilage. This is particularly true in case of fresh fruits and vegetables and frozen meats. Many of the exist- ing reefers are overfilled and inadequate for long term storage. This is one area of subsistence handling that should be studied. The shipment of frocih and frozen subsistence from the port facilities in Saigon to Long Binh requires an increase in operational reefer vans. Currently a large percent- age of perishable subsistence is shipped in CONEX's and non-operating reefer van:;. Several hours are required to move the cargo from shipside to refrig- erated storage at Long Binh. A considerable amount of oargo is subjected to extremely high temperatures during this period. To date the quantity of de- frosted product requiring immediate issue to prevent loss has been minimal} however, as more refrigerated cargo is shipped from shipside directly to Long Binh excessive defrosting will increase, A qtudy is in progress to determine actual length of time subsistence is out of storage, temperatures of products throughout the shipping period and the degree of defrosting or deterioration found at the time the product is returned to refrigerated storage.
/a s-3
c. There has been an increase in the number of Viotn/imeso bakeries pro- ducing bread for US Armed Forces procurement. There have been several in- stances, subsequent to approval of the facility, the plant was removed from the approved list because the product became unacceptable /f8 to 96 hours after baking. The bread spoiled due to spore forming non-pathogenic bacte- ria which caused the condition referred to by industry as "ropey bread". Once a plant is contaminated with this organism it is almost impossible to produce bread that will not be ropey. Once this condition is observed in a product the bakery ahould be considered for disapproval since natisfactoiy products are not likely to be produced. While engaged in this problem it was realized that the existing criteria for approving local bakeries did not stipulate that water used in making bread and cleaning equipment would be potable. This has been changed and all bakeries now have adequate facilities to treat all water utilized in the bakery.
d. L morbidity-mortality reporting system was Rutabliohod to try to de- fine the health status of dogs in a meaningful manner« This roport has pro- vided a means to record morbidity and mortality rates for military dog units operating in a combat, zone. The data gained shoald prove useful in future planning. For example the report shows that the incidence of heartworms, which was thought to be very high, is in fact very low. On the other hand the tick problem is much greater than had bo m previously bol-ieved. The re- port provides for documentation of "lost dog-days" per unit which is very useful to determine if proper preventive medicine is being practiced. Re- cently an evacuation policy was established to mere effectively control the hospitalizatlon of dogs. In addition dogs are tranrferred from the assign- ed unit to the veterinary hospital holding detachment when time in the hos- pital will exceed a prescribed number of days. This procedure allows the losing unit to requisition a replacement to maintain itself at strength. Dogs when returned to duty are transferred to the training detachment for reassignment.
e. The ÜSARV Veterinarian has acted to establish a sub-committee of the MACV Medical Policy Coordinating Committee to coordinate VETCLSP activ- ities conducted by US Amy, US Air Force and ÜSÄID veterinary personnel in support of VN agricultural and zoonotic problems.
5. (U) OPTOMETRY SERVICES — During the period 1 February 1969 through 31 May 1969, five new optometry clinics were opened for the first time or were re-staffed after a period of time without an optomotry officer. These clinics were located at the 29th Evacuation Hospital at Can The, the 36th Evacuation Hospital at Vung Tau, the 25th Medical Detachment at Bion Hoa Army Base, the 575th Medical Detachment at Nha Trang and the 1/+th Medical Detachment at Qui Hhon, All Optometry clinics that had been previously programmed are now fully staffed. The number of patients receiving opto- metric care as well as the number of spectacle orders being filled has continued to Increase with no indication of any decrease in demand yet ap- pearing Imminent, It is expected, however, that the worklo-id should level- out within the next few months. The number of spectacles actually fabricated
n w
within the division optical laboratories has increased from approximately AfOOO per month in January to almost 6,000 por month at the present time. The availability of vision care services within the division medical fa- cilities represents a significant savings in "foxhole strength".
/V E-5
ANNEX P
PHEVEIiTIVE MEDICINE
1. (U) DISEASES; a. The phyaical condition of the troopa was excellent during the period from 1 February through May 1969 and the overall health of the comniand continued at a high level. The total disease admission rate fell from 293.2/1000/annum in Februaiy to 280.5/lOOO/year in March. The malaria rate declined from 15.1/lOOO/annum in February to 10.1/lOOO/annum in March but began to increase as expected with the onset of the rainy sea- aon to 14.3/l000/year in April. The hepatitis rate for February, March, and April was 4.6, 4..7 and 4.2/l000/annum, respectively, Dlarrheal disease re- mained essentially the same during February and March. There were decreases in respiratory disease and venereal disease.
b. Malaria continues to be a major disease problem in Vietnam causing considerable noneffe'ctiveness. The USÄRV preventive medicine program, con- ; Lsting of unit and personal protective measures as well as chemoprophy- laxis, receives very strong emphasis from the Surgeon's Office. The only l;oy to success in the control of the malaria is strict command emphasis and required enforcement of all preventive measures at alJ levels of the com- mnd bat particularly at the company, platoon, and squad level.
2. (U) ENVIRONMENTAL SANITARIANS ~ Medical Service Corps onvlronraontal sanitarians, M03 3370, wore added to oach Of the seven USARV division BUJ - gcon's ataffs in December 1968. Guidance provided by the ÜSARV Surgeon's Off.ice has assured effective utilization of those new personneltowards Jin- proving preventive medicine services organic to the division. This innova- tion has resulted in more time, former]y devoted to direct first echelon support of divisions by the 20th and 172d Preventive Medicine Units, being available for higher echelon provontivo medicine aorviceo. The Chief, Sanitary Engineering Section of the Medical Service Corps (Colonel John Redmond, Jr.), from the QTSG, visited USARV in March 1969, for the purpose of reviewing the utilization of divisional sanitarians. Colonel Redmond was impressed and agreed to support USARV requirements for sanitarians.
3. SWIMMING FACILITIES — USARV has 84 swimming pools and an undetermined number of natural swimming areas used for recreational purposes. To pro- vide protection to personnel using these facilities, standards were pre- pared to establish sanitary control. These standards were submitted for publication as USARV Supplement No. 1 to AR 40-5, under the new system for military publications in accordance with Ch 12, AR 310-1. The USARV supple- ment actually prescribes minimal sanitary standards for the critical ele- ments of swimming pool facilities. Most of the pools acquired for USARV could not meet the high standards of design and construction specified for pools in CONUS. The USARV supplement assures minimal risk to personnel at the same time providing for maximum utilization of existing facilities.
AT F-1
U. (U) FIELD SANITATION TEAMS — The training of field sanitation teams was effectively continued by the 20th and I72d Preventive Medicine Units. These two-man teams, which are mandatory for each company-sized organiza- tion, provide a limited but valuable resource to aid the commander in car- rying out his responsibility for maintaining acceptable standards of unit hygicao and sanitation. Unfortunately, poor utilization, untimely training of replacement team members, and the lack of adequate supplies and equip- ment, has rendered these teams ineffective in some units. The situation in divisiomil units and other organizations with orcanic preventive medicine personnel has improved with regard to the supervision and effectiveness of the teams. The addition of a commissioned environmental sanitarian to each division has permitted additional staff supervision of the training and utilization of the teams.
5, (U) AERIAL DISPERSAL OF INSECTICIDES — Continued evaluations have dem- onstrated that aerial dispersal of insecticides, when utilized correctly, is effective against both adult and larval mosquitoes. Effective 19 April 1969 a second ÜSAF C-123 aircraft for the aerial dispersal of insecticides became operational. As long emphasized by the Surgeon this additional ca- pability will enable expansion of present target areas, but most important it will effect optimum control by permitting reappllcation within the de- sired 15-20 day period. Considering the malaria endemicity of Vietnam, and recent explosive outbreaks of falcipanun malaria among unprotected ci- vilian populations, the old adage that the "infantryman contracts the dis- ease in relatively inaccessible jungles far from base camps" is not a valid criticism of the aerial program. To the contrary, programs such as this may very well be why such statements are indood true, and in fact, may be one of the best indicators of the value of such programs.
6, KETROGRADE CARGO — Initial planning and liaison has taken place for the joint quarantine processing of retrograde materiel. This concept of US Quarantine representatives present in Vietnam has been emphasized by the surgeon. The presence in-country of expert opinion is necessary to pre- clude the economic and administrative adversities resulting from ships be- coming quarantined upon arrival in an unsatisfactory condition at US ports,
7, (U) TRAINING — The first USÄRV Preventive Medidns Conference in 1969 was held in the USARV Auditorium at Long Binh on 12 May 1969, The confer- ence discussed in detail the malaria and diarrheal problems, zoonosea, con- trol of venereal disease, environmental hygiene, entomological problem, preventive psychiatry, and dental programs. Eighty (80) personnel attended. This included the following preventive medicine personnel (3005, 7960, 3370, 3315, 91S) as well as staff surgeons, veterinarians, allied science person- nel, and medical staff officers. See Appendix 1.
/Ic F-2
ANNEX G
MEDICAL MATERIEL
1. (ü) GENERAL: a. ÜSARV has the primary responsibility for medical sup- ply and maintenance support to all US Army Forces in RVN, In addition, med- ico! supply and maintenance support is provided to US Navy, Free World Mili- tary Assistance Forces (FWMAF), MILPHAP and MACV/MAGCOHDS advisory teams located in the II, III, and IV Corps Tactical Zones, The medical supply and maintenance support mission is accomplished by the 32d Medical Depot located at Cam Ranh Bay and four advance depots located at Long Binh, Qui Nhon, Chu Lad., and Phu BaU Approximately $4^2 million of medical materiel was issued in 1968 to support the medical service mission In Vietnam.
b. The medical supply system during this reporting period continued to be responsive to customer demands on a timely basis. The supply performance of the 32d Medical Depot, combat divisions and 44th Medical Brigade medical supply activities continued to improve. The improvement in supply perform- ance can be attributed to the increased command emphasis on supply disci- pllna and the implomontation of several managomont procedures within the command. The following la the supply performance of the 32d Medical Depot during the report periodi
Supply Performance (Percentage of Pi U)
MONTH STD ITEMS NON-gED ITEMS
FEB 81^ 64^ MAR 865« 6956 APR 875« 7356
The medical supply support provided by hospitals of the 44th Medical Bri- gade, division and separate combat brigade medical supply activities con- tinued to reflect a high degree of percent of fill averaging between 89$ - 95%.
2. (0) SIGNIFICANT ACTIVITIES: a. In February, the first stratification report of Class VIII for the 32d Medical Depot was accomplished. This re- port enabled the medical depot to purify stock record data, accomplish in- terdepot stock leveling and identify command excesses. A second stratifi- cation report was accomplished in April which accelerated the program of identification and disposition of depot excesses. The identified depot excesses beyond the authorized retention level were offered to RVNAF and USAID medical depots to jatlsfy their requirements. Excesses not required by RVNAF and USAID were shipped to the US Amy Medical Depot, Ryukyu Is- lands. Since the beginning of the excess program 1 December 1968 to 30 April 1969) the following total dollar value of excesses have been trans- ferred:
/7 G-1
MIT . DOLLAR VALUE
nm&F 1410,019.00 US/JD 1«, 100„00 US Army Medical Depot, Ryukyu Islands 522,000.00
b. To reduce the number of line items of medical matcriol stocked in the medical supply system in ÜSARV and to better control medical materiel, a program was initiated In February to develop a Command Medical Stockage List (CMUL). The Command Medical Stockage List will consist of those stan- dard and nonatandard medical items professionally determined to be essen- tial for the accomplishment of the medical mission in this command. A Pharmacy Officer was assigned to the USARV Surgeon" a Office to assist in the development of the Command Medical Stockage List. A USARV regulation establishing the policies and procedures for the development and maintenanoe of the CMSL was approved and is in publication. In conjunction with the CMSL, a Therapeutic Formulary is being prepared for distribution to all med- ical units within the command. The formulary lists each pharmaceutical au- thorized for stockage by therapeutic grouping and restriction code. The professional consultants have identified those items which are authorized for hospital use only and those which may ba Issued for general use. The CMSL and Therapeutic Formulary Program will result in:
(1) Better control of medical materiel,
(2) Hoduotion of depot inventories.
(3) Reduction of storage requirements.
(4) Improved inventory management,
(5) Conservation of supply dollars.
(6^ Increase supply responsiveness.
o. lu labruary 1969, the Data Automation Requirement to automate the medical materiel management in RVH was approved by Department of the Amy. The approval included the following conditions t
(1) That system design efforts, programs and routines developed for 3S VN be utilized in proposed MSDLOG system where feasible.
(2) That ADPE resources available withlu the command be considered prior to initiation of equipment acquisition,
(3) That personnel requirements for support of MEDLOG system are mocle available within the command.
/g 0-2
Tiio mnjor problem area existing is (iotormlnlng the availability of computer time in RVN to support a WDLOG oystom which will operate a central inventory mnngement center. Tlio USAIlV Comptroller is determining the foaaibility of sharing the 7010 system at Cam Kanh Bay and weighing other alternatives with a view of satisfying the Department of the Army conditions. The USARV Sur- geon's Office has certain reservations regarding the use of the 3S VN due to its complexities and the inordinate number of programs required to run a medical supply cycle. A simple system would more effectively and economical- ly accommodate medical supply management In RVN, Likewise, as a result of lessons learned in other commands, the USARV Surgeon's Office is InslBtent that medical supply have dedicated computer cycle If medical must share a computer with other materiel categories.
d. In April, NCR 500 computer systems w re received for the Ath Advance jpot, Phu Bal and the 507th Medical Detichment, Chu Lai, to automate the
stock control activities at these depot sites. The conversion from manual G-ock record accounting systems to the NCR 500 computers entailed conducting a iOO^ inventory, reconciling dues-in/dues-out and transferring all data to stook ledger cards. The conversion was completed on 30 April 1969. The reeoipt of the two NCR 500 computers completed the conversion of the 32d Medical Depot from a manual to a mechanized supply accounting system,
e. To evaluate the effectiveness of the medical supply support syst. i In UCiRV, and to assist medical units in improving their supply procedure:.!, numerous liaison visits were made to US Army and FWMAF medical units dur:':ig the report period. These liaison visits also provided a means to identify excessos within the command and to monitor the management of medical ma- teriel.
f. In an effort to improve and standardize the medical supply manage- ment within the TOE medical units (i.e., combat divisions, separate brigades, hospitals, and dispensaries), a USARV regulation on Property Accountability for Medical Materiel was developed and published in April 1969. This regu- lation established policies and procedures and provides adequate guidance for the operation of a medical supply activity in a TOE medical unit. The development of this regulation was essential since there is no existing Department of the Army regulation which prescribes an accounting system for TOE modical units in combat,
g. In an effort to develop procedures to improve the medical supply support from Okinawa and reconcile requisitions submitted by the command to the US Army Medical Depot, Ryukyu Islands, a liaison trip to Vietnam was scheduled in February for Colonel John E, Mathis, CO, US Amor Medical Depot, Ryukyu Islands, During this liaison trip the following medical supply sub- jects were discussed and procedures established»
(1) Dues-In/Dues-Out Reconciliation.
/f G-3
[ 2) T-Day Planning.
(3) Class VIII Excesflos.
(U) Potency Dated Items.
(5) Receipt of Overshlpments.
(6) Requisition and Follow-up Status.
i.. a .'esult of the liaison visit, a significant improvement has been experi- ei , d by the 32d Medical Depot as reflected in the continued increase in amply performance and z reduction in zero balances during this report period,
h. A significant improvement was experienced In the supply support of repair parts for MOST Utility Packs. This improved repair parts supply sup- port resulted in a decrease in the command's Utility Pack deadline rate from 27/f! in January to M% in April, Constant communication is maintained with KECOM and other NICPs to keep them apprised of the essentiality of MUST re- pair parts requirements.
1. In an effort to control and monitor the issue and use of medical supplies, an aggressive prognim was implemented to review, challenge and reduce the number of line items, quantities and dollar value of issue of medical materiel to US Forces and Free World Military Assistance Forces (FWMäF) . In addition, the issue of many drug items were restricted to med- ical units having specialized professional and medical treatment capabili- ties. The above actions resulted in a significant reduction 1B the lino items and quantities requisitioned by customers from the 32d Medical Depot during this reporting period. A reduction in the monthly dollar value of issues, particularly to major FWMÄF customers, was also noted.
j. In the area of medical maintenance, action was initiated in March to establish a USARV Medical Equipment Density List. All medical units were required to submit an initial equipment report by 31 May and monthly changes thereafter. This density listing, by providing valuable information for the determination of repair parts and equipment replacement requirements in the command, will enhance the medical maintenance support provided by the 32d Medical Depot.
3. (U) SUMMflRT — The Amy Medical Supply System continued to function ef- fectively during this report period. The supply performance of the 32d Medi- cal Depot and unit medical supply activities were responsive in satisfying the demands of the command for medical supplies and equipment on a timely basis. Every effort is being made by the USARV Surgeon's Office, the 4^th Medical Brigade and the 32d Medical Depot to develop and implement various materiel management programs to improve the medical supply support perform» ance in RVN,
JtC G^
ANNEX II
MEDICAL RECORDS AND STATISTICS
1. (ü) OBJECTIVES — The Medical Records and Statiatics Division, Office of the Surgeon, USARV, has continued to operate as a central medical records and reports agency for Vietnam, This office receives, verifies, corrects, consolidates, and forwards to higher headquarters all medical records and reports prepared in Vietnam. Medical statistical information is also pro- vided locally to USARV staff agencies, MACV, and the Uth Medical Brigade. In addition, this division provides guidance to all medical units in the preparation of medical records, medical reports, and all other matters per- taining to patient administration. Data provided in this annex includes only that available through April 1969 since May data is not available in sufficient time to allow inclusion.
2. (U) SIGNIFICANT DATA: a. Data presented in this section is arranged to indicate both present and past experience in Vietnam« In moat instances, past figures are shown back to January 1966. When considering the apparent Increases in figures in 1966 and early 1967, it should be noted that this was a period of increasing troop strength in RVN.
b. Admissions and dispositions data in USARV medical treatment facili- ties is shown in figures 1-10 of this annex. This also includes the Army daily admission rate by cause per 1000 troop strength and the Army daily non- effectivo rate. IRIIA admissions are noted to bo high during the periods i jllowing the TET Offensive of January 1968 and slightly elevated following the Post-TJET Offensive of February 1969 and other periods of increased enemy activity. Disease admissions seem to follow a seasonal cycle, with lows in February-March and peaks around August-October. There is no apparent change in non-battle injuries.
c. Figures 11 and 1 2 provide information on hospital and convalescent center bed status. Convalescent center bed occupancy appears to follow the same seasonal cycle as disease admissions in USARV facilities. This is due to the high percentage of malar^ patients in the summer months.
d. The USARV death rate is shown in figure 13, and is computed as deaths per 1000 admissions. This data compares most favorably with that of any pre- vious military conflict in recent history.
e. Figures 14 through 21 ropresent graphically (as charts) the incidence of selected morbid conditions per 1000 troop strength, by month, from January 1966 to the present. Those include hepatitis, diarrheal conditions, skin diseases, psychiatric disorders, malaria, fevers of undetermined origin, acute respiratory diseases, and pneumonia.
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Security Classificalion
DOCUMENT CONTROL DATA -R&D (Security cJmmtiUcmtlon ol ttttm, body of mbatrmct mnd IndnMlng annolmllon muaf ht vntrrvd whi>n th* ovarntl frpntl it rlannHlmd)
I. ORIGINATING ACTIVI rv (Cotponlt mulhor)
IIQ, OACSKOR, DA, Washington, D.C. 20310
[zm, HLPon T SF.cufn r y c. i ÄitlFICATION
Conridciitial 2b. .HOU»1
> REPORT TITI.C
Senior Officer Debriefing Report; BG Hal B. Jennings, Jr.
4. OE1CRIPTIVE NOTt.1 (Typ* ol rtpoel mnd Inclunlrt dmlmm)
Senior Officer Debriefing Report, Period I Feb 1969 to 3 June 1969, n AUTMOHI») (Firml nuw, mlddl» Inlllml, tm»l nmm»)
BG Hal B. Jennings, Jr.
«. REPORT DATE
3 June 1969 7». TOTAL NO. OF PAOr»
52
7*. NO. OF REFS
•a. CONTRACT OR GRANT NO. M. ORICINATOn*S REPOK1 NUMBENtS»
6. PROJECT NO. 69B021
N/A 9b, OTHER REPORT NOOI (Any othmr nitmbmr* thmt mmy bm m»»*0nmd Ihla report)
I0 OUTRIBUTION ITATEMENT
II. 1UPPUEMENTARY NOTES
N/A
II. »PONiORINO MILITARY ACTIVITY
0ACSF0R, DA, Washington, D.C. 20310
it. ASITRACT
\ . ■
-y*?*?3rK&*T*
45
DD ;r..1473 UNCLASSIFIED Security ClasEin icatlon
